Ear wax (medically known as cerumen) is completely natural. Your ears produce it to protect the delicate skin of the ear canal, trap dust and bacteria, and keep your ears clean. In most people, ear wax naturally works its way out of the ear over time. But for some, it builds up and causes problems.
Why Does Ear Wax Build Up?
There are several reasons why ear wax can accumulate faster than your ears can clear it naturally:
Narrow or unusually shaped ear canals. Some people are born with ear canals that are narrower than average, which makes it harder for wax to move out on its own. This is one of the most common causes of recurring blockages.
Producing more wax than average. Some people simply produce more ear wax than others. This is perfectly normal but means blockages are more likely, especially as you get older.
Using cotton buds or earbuds. Pushing anything into your ear canal, such as cotton buds, ear plugs, or in-ear headphones, can push wax deeper rather than removing it. Over time, this compacts the wax into a hard plug that blocks the canal.
Hearing aids. If you wear hearing aids, the moulds can prevent wax from moving out naturally. This is why hearing aid users often need regular ear wax removal.
Age. As we get older, the consistency of ear wax tends to change. It becomes drier and harder, making it more likely to get stuck. This is why ear wax problems are particularly common in people over 60.
Skin conditions. Conditions like eczema or psoriasis can affect the skin inside your ear canal, leading to flaking and increased wax production.
How Do You Know If You Have a Build-Up?
Common signs of ear wax build-up include:
- Muffled or reduced hearing
- A feeling of fullness or pressure in the ear
- Earache or discomfort
- Tinnitus (ringing or buzzing in the ear)
- Itching inside the ear canal
- Dizziness or a sense of imbalance
If you are experiencing any of these symptoms, it is worth having your ears checked by a qualified professional.
What Should You Do About It?
The most important thing is to avoid trying to remove ear wax yourself with cotton buds, bobby pins, or ear candles. These methods are ineffective at best and dangerous at worst. They can push wax deeper, damage the ear canal, or even perforate the eardrum.
Professional microsuction ear wax removal is the safest and most effective method. A qualified clinician uses gentle suction to remove the wax under direct vision, with no water and minimal discomfort.
If you think you might have a build-up of ear wax, get in touch with Herts Ear Clinic to book a home visit in Welwyn Garden City or across Hertfordshire.